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CFRN STUDY GUIDE-Study Terms &Questions with Solutions

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CFRN STUDY GUIDE-Study Terms &Questions with Solutions

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  • September 16, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CFRN
  • CFRN
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CFRN STUDY GUIDE-Study Terms
&Questions with Solutions

Anion Gap - ✔✔8-16, greater than 16=metabolic acidosis



Lactate - ✔✔>2=abnormal
>3=lactic acidosis
>4=significant hypoperfusion



Fibrin Degregation - ✔✔DIC
>40 ug/ml=Critical



PT - ✔✔11-13 seconds (Coumadin)



PTT - ✔✔25-35 seconds (Heparin)



PT/INR - ✔✔0.9-1.2 (Coumadin)



Cranial Nerves 1-6 of 12 - ✔✔1: olfactory-smell
2: optic-vision
3: occulomotor-eye opening/pupil constriction
4: troclear-up/down eye movement
5: trigeminal-chewing/ facial sensation
6: abducens-right/left eye movement



Cranial Nerves 7-12 of 12 - ✔✔7: facial-taste/ mouth movement/ tears/ saliva

,8: acoustic-hearing/ equilibrium
9: glossophargeal-talking/ gag reflex/ taste/ carotic reflex
10: vegus-talking/ swollowing
11: spinal accessory-shoulder shrug
12: hypoglossal-tongue movement



APGAR - ✔✔Appearance
Pulse Rate
Grimmace
Activity
Resp Effort



Hypoxia 4 Types - ✔✔Hypoxic-not enough O2 to go around=Altitude
Hypemic-not enough RBC's to carry O2=Anemia
Histonic-incapable of using O2=CO2 poisoning
Stagnant-block by body parts=pedal edema, touniquets, heart fail, trapped air in ABD



What Altitude is Night Vision cut in 1/2 - ✔✔5,000-10,000 ft



Heat Loss 4 Ways - ✔✔Radiation: heat rises off skin
Conduction: lose heat in contact with cold
Convection: heat loss by moving air over skin
Evaporation: fluids are absorbed to surrounding object or air



CVP (central venous pressure) measures? - ✔✔Right side of the heart PRELOAD (norm: 2-6)
(to decrease PRELOAD: Lasix, Nitro, Morphine)

, PCWP (pulm cap wedge pressure) measures? - ✔✔Left side of the heart PRELOAD (norm: 6-
12) (to decrease PRELOAD: Lasix, Nitro, Morphine)



PVR (pulm vasc resistance) measures? - ✔✔Right side of the heart AFTERLOAD (norm: 50-
250)



SVR (systemic vasc resistance) measures? - ✔✔Left side of the heart AFTERLOAD (norm: 700-
1500)



Meds to decrease afterload - ✔✔Nipride, Nicardipine, Dilt, Labetolol,Esmolol



Meds to increase afterload - ✔✔NorEpi (Levophed),Vasopressin,Dopamine, Phenylephrine



CO=SV x HR - ✔✔SV (norm 60-130 ml/beat)
HR (norm 60-100 beats/min)



IABP Timing Errors 4 Types - ✔✔Early Inflation-inflates while still in systole (harmful)
Late Inflation-inflates while in diastole (sub optimal)
Early Deflation-deflates while in diastole (not pushing blood)
Late Deflation-deflates while still in systole (very harmful)



IABP Benefits - ✔✔Diastolic augmentation
Reduction of the afterload
Gives the heart a chance to rest
Reduces O2 demand
Increases CO

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